Preferences for innovations in healthcare delivery models in the Swiss elderly population: a latent class, choice modelling study.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_07487F2901A8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Preferences for innovations in healthcare delivery models in the Swiss elderly population: a latent class, choice modelling study.
Périodique
European journal of public health
Auteur⸱e⸱s
Nicolet A., Perraudin C., Krucien N., Wagner J., Peytremann-Bridevaux I., Marti J.
ISSN
1464-360X (Electronic)
ISSN-L
1101-1262
Statut éditorial
Publié
Date de publication
03/04/2024
Peer-reviewed
Oui
Volume
34
Numéro
2
Pages
260-266
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
With the increasing number of people affected by multiple chronic conditions, it is essential for public-health professionals to promote strategies addressing patient needs for coordinated care. We aim to explore preference heterogeneity for better-coordinated care delivery models in Swiss older adults, and identify profiles of individuals more open to healthcare reforms.
A DCE (discrete choice experiment) survey was developed online and on paper for the Swiss adults aged 50+, following best practice. To elicit preferences, we estimated a latent class model allowing grouping individuals with similar preferences into distinct classes, and examined what background characteristics contributed to specific class membership.
The optimal model identified three classes with different openness to reforms. Class 1 (49%) members were concerned with premium increases and were in favour of integrated care structures with care managed by interprofessional teams. Individuals in class 2 (19%) were younger, open to reforms, and expressed the needs for radical changes within the Swiss healthcare system. Class 3 respondents (32%) were strongly reluctant to changes.
Our study goes beyond average preferences and identifies three distinct population profiles, a majority open to reforms on specific aspects of care delivery, a smallest group in favour radical changes, and a third strongly against changes. Therefore, tailored approaches around healthcare reforms are needed, e.g. explaining the role of interprofessional teams in coordinating care, electronic health records and insurance premium variation.
Mots-clé
Humans, Aged, Switzerland, Delivery of Health Care, Surveys and Questionnaires, Health Care Reform, Choice Behavior, Patient Preference
Pubmed
Web of science
Open Access
Oui
Financement(s)
Fonds national suisse
Création de la notice
22/01/2024 10:07
Dernière modification de la notice
09/04/2024 7:14
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